Review of mannequin‐based high‐fidelity simulation in emergency medicine

Abstract

The spectrum of uses of high-fidelity simulation in emergency medicine has increased in the past 10 years and ranges from teaching isolated skills to improving complex team behaviours in critical situations. This review will describe these published uses and explore the evidence supporting the use of high-fidelity simulation, as well as the future directions and difficulties of using this technology in our specialty.

The Use of an Advanced Simulation Training Facility to Enhance Clinical Psychology Trainees' Learning Experiences

“…Taking this into account, we are confident that the content of the simulation exercises are realistic and relevant for the trainees at this stage of their training. In this way we were able to ensure "psychological fidelity" (Fritz et al, 2007, p. 2) -that is, a believable representation of an actual clinical problem. This was borne out by the feedback from the trainees themselves, who corroborated the view that the exercises were realistic and relevant.…”

“…It is widely acknowledged in the simulation literature that for a transfer of knowledge to occur, the simulation needs to be as realistic as possible, enabling the students to 'suspend disbelief' and to participate more fully (Campbell & Daley, 2009;Dieckman, Gaba, & Rall, 2007;Fritz, Gray, & Flanagan, 2007). Moreover, according to Alinier (2007a), it is also very important to create a context within which trainees can experience the same pressure and stress they would in a real-life clinical situation.…”

“…Beyond psychological fidelity, one also needs to consider the "environmental fidelity" (Fritz et al, 2007, p. 2) -that is, the realism of the environment in which the simulation takes place. The advanced simulation centre at UH provides realistic environments for simulating scenarios that are typical of clinical psychology practice -that is, a home setting (that can also be used as an office or a counselling room) and a hospital ward.…”

Learning in Technology-Enhanced Medical Simulation: Locations and Knowings

“…In trying to address these challenges, the use of simulators has become a common teaching strategy in medical education (Cook et al, 2013;Motola, Devine, Chung, Sullivan, & Issenberg, 2013). This type of training is seen as offering opportunities to practice realistic medical cases in safe, pedagogically pre-designed environments and for the students from different disciplines to work together as they will do in their future professional lives (Fritz et al, 2008;McGaghie et al, 2010).…”

Simulation as a tool to improve the safety of pre‐hospital anaesthesia – a pilot study*

“…Simulation-based education has been embraced by training programmes in anaesthesia, emergency medicine and surgery [4,5]. A recent review of the literature concluded that whilst educationally effective, the rigor and quality of research in this field needs improvement [5].…”